Individual
DR. JACKIE MAE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-4200
(585) 275-9555
(585) 473-3516
Mailing address
601 ELMWOOD AVENUE BOX 655, ROCHESTER, NY 14642-8655
(585) 273-4398
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
312232
NY
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
OT018082
PA
363AM0700X
Medical Physician Assistant
312232
NY
Other
Enumeration date
06/12/2017
Last updated
07/07/2023
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